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NPI Code Detail

MEDICARE: DR. JOHN FITZGERALD MD

MEDICARE: DR. JOHN FITZGERALD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianR81568AZ

General Provider Information

NPI Number : 1487441564
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN FITZGERALD MD
Provider Business Mailing Address
First Line : 655 N ALVERNON WAY STE 228
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1853
Country : US
Telephone Number : 520-694-1640
Fax Number :
Provider Business Practice Location Address
First Line : 655 N ALVERNON WAY STE 228
Second Line :
City : TUCSON
State : AZ
Zip : 85711-1853
Country : US
Telephone Number : 520-694-1640
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2025
Last Update Date : 07/22/2025

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Directions to “ DR. JOHN FITZGERALD MD” Practice Location

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